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Active NPI 1033118286 Individual Practitioner Female Practitioner

Shannon Jewelanna Pruett , DPH

Pharmacist • Broken Bow, OK

Professional Overview & Biography Verified Profile Summary

Shannon Pruett, DPH is a registered healthcare professional specializing in Pharmacist in Broken Bow, OK. Practice services are available at 201 S PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 S Park Dr

Broken Bow, OK 747284737

Telephone 5805846085
Fax 5805846088
Associated Practice Facility / Clinic
🏢 Pruetts Food Inc Facility NPI 1689673832

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Broken Bow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Broken Bow, OK (3455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-31
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 12491

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427523729

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 31, 2021

Registered at 692 OLD MILITARY ROAD, BROKEN BOW, OK 747289659 (Tel: 5805846089)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 201 S PARK DR, BROKEN BOW, OK 747284737 (Tel: 5805846085)

📍
Updated Business Mailing Address July 08, 2007

Registered at RR 2 BOX 369, BROKEN BOW, OK 747289659 (Tel: 5804206115)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHANNON PRUETT, D.PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #12491 in OK)

🟢
Initial NPI Registration & Enumeration July 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033118286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2005
Last Update: January 31, 2021
Sole Proprietor: Yes

Mailing Address

692 Old Military Road

Broken Bow, OK 747289659

Phone: 5805846089

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.